Active NPI
Mayra Fernandez, ATO
- Occupational Therapy Assistant
- San Juan, PR
National Provider Identifier
1881887008
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- 443
- Practice address
- Pediatric University Hospital Third Floor C
Medical Center
San Juan, PR 00936 - Phone
- (787) 777-3535
- Fax
- (787) 764-7004
- NPI assigned
- Aug 21, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | 443 | PR | Primary |
Addresses
Primary practice location
Pediatric University Hospital Third Floor C
Medical Center
San Juan, PR 00936
Mailing address
HC 03 Box 40594
Caguas, PR 00725
Phone (787) 736-0937
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 443 | PR | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1187654400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1187654400000",
"number": "1881887008",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "HC 03 BOX 40594",
"city": "CAGUAS",
"state": "PR",
"postal_code": "00725",
"telephone_number": "787-736-0937"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "PEDIATRIC UNIVERSITY HOSPITAL THIRD FLOOR C",
"address_2": "MEDICAL CENTER",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "00936",
"telephone_number": "787-777-3535",
"fax_number": "787-764-7004"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FERNANDEZ",
"first_name": "MAYRA",
"credential": "ATO",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-08-21",
"last_updated": "2007-08-21",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "PR",
"license": "443",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Juan, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.